Individual provider Active NPI

Nicole Ayanna Williamson, M.D.

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1518136183
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
87195 Issued in SC
Practice address
701 Grove Rd FL 5
Greenville, SC 29605-4210
Phone
(864) 695-6187
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 87195 SC Primary
Internal Medicine Physician 207R00000X 28279 OK

Addresses

Primary practice location

701 Grove Rd FL 5
Greenville, SC 29605-4210

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697

Other practice location 1

3300 NW Expressway St
Oklahoma City, OK 73112-4418
Phone (405) 949-3011

Other identifiers 4

IdentifierTypeStateIssuer
871952MedicaidSC
SCP4015019OtherSCMEDICARE PIN
SCP4019068OtherSCMEDICARE PIN
200335530AMedicaidOK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address NicoleWilliamson@direct.jcmh.com
Direct Messaging Address nwilliamson256891@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110811000860 OK Practitioner - Internal MedicinePractitioner - Emergency Medicine 5597934380 Reassigns benefits to 6 organizations
I20230407001678 SC Practitioner - HospitalistPractitioner - Internal Medicine 5597934380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Tufts University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978

3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589

4401 S Western
Wound Care Clinic
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000

4421 S Western Ave
Suite 1030
Oklahoma City, OK 73109-3413
Phone (405) 644-5398

5501 N Portland
Select Specialty Hosp West
Oklahoma City, OK 73112-2074
Phone (405) 951-4016

701 Grove Rd
Suite 5
Greenville, SC 29605-4210
Phone (864) 455-4411

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

Merit-based Incentive Payment System (MIPS)

Final score
66.46 of 100Reported as group
Improvement activities
20
Cost
68.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physicians LLC CurrentSince Sep 1, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 26, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 3, 2024 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Dec 3, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 26, 2024 Accepting new patients
Pelham Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Pelham Medical Center Current Accepting new patients
HCC Duncan Inc CurrentSince Jul 1, 2020 Accepting new patients
Metro Healthcare Services LLC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Spartanburg Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Pelham Medical Center Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Spartanburg Medical Center Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Prisma Health University Medical Group Internal Medicine CurrentSince Jun 3, 2024 Accepting new patients
Leading Edge Emergency Physicians, Inc Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

3001 Quail Springs Pkwy
Oklahoma City, OK 73134

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

2129 SW 59th St
Oklahoma City, OK 73119
Phone (405) 680-2270

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

701 Grove Rd
Fl 5
Greenville, SC 29605
Phone (864) 455-4411

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

701 Grove Rd
#5
Greenville, SC 29605
Phone (864) 455-4411

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

101 E Wood St
Ste 401
Spartanburg, SC 29303
Phone (864) 560-6654

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Interoperability endpoints

  • Direct secure messaging: nwilliamson256891@direct-srhs.et0939.epichosted.com
  • Direct secure messaging: nicolewilliamson@direct.jcmh.com
  • Direct secure messaging: nwilliamson769208@direct.ghs.myhfn.org
  • Direct secure messaging: nwilliamson416355@direct-ehr-ssmhc.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1518136183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD FL 5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "864-695-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 NW Expressway St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124418",
            "country_code": "US",
            "telephone_number": "405-949-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "NICOLE",
        "middle_name": "AYANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "87195",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "28279",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "871952",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCP4015019",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCP4019068",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200335530A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NicoleWilliamson@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "1200 E Pecan St",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735216192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwilliamson256891@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nwilliamson256891@direct-srhs.et0939.epichosted.com",
            "address_1": "101 E Wood St Ste 401",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.